Managed Care Nurse Jobs in Detroit (36)

job title, keywords or company
city, state or zip
Home-Visit Nurse Practitioner for INSPIRIS
UnitedHealth Group, MI-Detroit – Map
the Nurse Practitioner will provide total care for… patient care team. The Nurse Practitioner will communicate and manage the patients' care across all care…
From: AllHealthCareJobs
Per Diem Home Assessment Nurse Practitioner for INSPIRIS
UnitedHealth Group, MI-Detroit – Map
gaps in care (disease-specific or preventive), Nurse… and refer members back to their Primary Care Provider. * Nurse Practitioner will recognize emergent or…
From: AllHealthCareJobs
Member Education & Outreach Coordinator
UnitedHealth Group, MI-Southfield – Map
development of beneficiary care plans, community referrals, practitioner care appointments, and support on… of care, timeliness of prenatal and post partum care…
From: AllHealthCareJobs
Case Manager
Botsford Hospital, MI-Farmington Hills – Map
care services for patients (i.e. home health care… care facility). Promotes hospital reimbursement by coordination of external managed care pre-certification…
From: HealthcareJobsite.com
Lead Care Coordinator (CSB – St. John Health Partners FT/Days)
St. John Health System, MI-Warren – Map
in Care. Assists with the integration of the care processes that support the continuum of care for the… disease management and managed care Understanding of…
From: HealthcareJobsite.com
Account Service Management Consultant PFS Director
Dell, – - Map
hospitals with 2,644 beds, 62 ambulatory care, family care and urgent care centers and 2 blood banks. SEHA… doctors, nurses, ancillary care and administrative…
From: Dell
Clinical Appeals Coordinator
Botsford Hospital, MI-Farmington Hills – Map
and facilitate managed care collaborative process… to reduce unfavorable effects of external managed care cost cutting strategies. Minimum Education…
From: HealthcareJobsite.com
Utilization Management Weekend & Holiday Senior Inpatient Review Nurse
Meridian Health Plan, MI-Detroit – Map
to standardize care practice and care delivery. Seek… Nurse or Registered Nurse in the State of Michigan is required. Three years of acute patient care with…
From: Indeed.com

OptumRX, Dir. Clinical Account Pharmacy (Telecommuter)

(376044)
UnitedHealth Group, – - Map
to disease state or care management Support personal health support (PHS) nurse teams with pharmacy… At least 7 years of managed care or PBM experience…
From: Indeed.com


OptumRX, Dir. Clinical Account Pharmacy (Telecommuter)

(376044)
Picis Inc, – - Map
to disease state or care management Support personal health support (PHS) nurse teams with pharmacy… At least 7 years of managed care or PBM experience…
From: Indeed.com

Utilization Management Nurse RN – Join our Southfield, MI team…Apply today!
UnitedHealth Group, MI-Southfield – Map
Telephonic_UM_Nurse.pdf Utilization Management Nurse… to better understand plans-of-care -Identify and evaluate delays in care -Initiate a discharge planning…
From: JobDiagnosis.com
Nurse Anesthetist (IRAQ)
Comprehensive Health Services, – - Map
managed healthcare environment and provides primary health care as well as resuscitative surgical care in… document care delivered and follow up care required…
From: Indeed.com
Utilization Management Inpatient Review Nurse
Meridian Health Plan, MI-Detroit – Map
to standardize care practice and care delivery. Seek… years experience in UM/UR and managed care experience is preferred. Three years of acute patient care with……
From: Indeed.com
Nurse Reviewer Specialist
Meridian Health Plan, MI-Detroit – Map
Practical Nurse or Registered Nurse in the State of… industry experience is preferred. Knowledge of managed care and Michigan Medicaid guidelines is preferred…
From: Indeed.com
Exoseal Clinical Specialists, Vascular Closure Device
ReSearch Pharmaceutical Services, – - Map
effectively with all health care providers including physicians, nurse, technologist, fellows and hospital… to train physicians, nurses, techs, sales reps and…
From: Indeed.com
Cerner Millennium Radiology Clinical Analyst
Dell, – - Map
and other patient care environments to ensure… and stakeholders – Show the ability to be self managed, can manage own time and prioritize work to meet…
From: Dell
*RN Care Manager*
Borgess Health, MI- – Map
The Care Manager reports to the Director of Care Management. The Access RN Care Manager is accountable for… Nurses Association (ANA) Code for Nurses, the ANA…
From: Indeed.com
Nurse Practitioner Job for Wisconsin CE791N
StaffPointe, – - Map
Nurse Practitioner Job for Wisconsin CE791N One full time Nurse Practitioner opportunity is available in… health care including pre-op and post-op care. The NP…
From: Get it, LLC
Access RN Care Manager 1/27
Borgess Health, MI- – Map
for a full time, Access RC Care Manager position. The Access RN Care Manager is accountable for… Nurses Association (ANA) Code for Nurses, the ANA…
From: Indeed.com
RN – Corrections, UW Health, Wausau, WI
Aspirus, MI- – Map
of diseases commonly managed in a Family Practice… care in an ambulatory primary care setting. Experience in organizing and administering patient care…
From: Indeed.com

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